46D2138508 CLIA NUMBER - WALMART PHARMACY 10-3366

Laboratory Demographics

  • CLIA Code: 46D2138508
  • Facility Name: WALMART PHARMACY 10-3366
  • Facility Address: 221 W PARRISH LN
    CENTERVILLE, UT
    ZIP 84014
  • Facility Phone: 801 294-6168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEANNA JOHNSTON
  • NPI Number: 1447459920
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2138508
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3366
Street 221 W PARRISH LN
City CENTERVILLE
State UT
ZIP 84014
Phone 801 294-6168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director DEANNA JOHNSTON

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This page was last updated on: 9/29/2025